Individual provider · Type 1 NPI

Natalie Ellis, LMT, PTA

Massage Therapist · Boise, ID

NPI number 1083260194 Active

Practice location

1625 W State St Ste 100
Boise, ID 83702-4003

Call (208) 336-0017 Map

Fax (208) 439-7657

Mailing address

1401 E Blue Tick St
Meridian, ID 83642-7474

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMASA3541 (ID)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

5 other providers at this address

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About NPI 1083260194

Natalie Ellis, LMT, PTA's National Provider Identifier is 1083260194, issued on Aug 14, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boise, ID. The record was last updated on Aug 14, 2019.